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F <br /> � . � � <br /> , �` <br /> . � . ; . <br /> . r = ` PERMIZ'�'EE.CALCIJLAT�f7N(S} - , '; , <br /> . ' ; BASED QF�=2002 STATE:ST:ATTIE i"'` , � ..._', . �' . G <br /> ❑ Yes,this section applies <br /> The replacement of a Residenrial fixture or appliance that meets all three of the following requirements: <br /> 1. Does not require modification to electrical or gas service. <br /> 2. Has a total cost of$500.00 or less;excludinQ the cost of the fixture or appliance: and <br /> 3. Is improved,installed or replaced by the homeowner or licensed contractor. <br /> Skip next section,if this applies; Cost of Pernut $ 15.00 <br /> State Surcharge $ .50 <br /> Mail-In Fee(If Applicable) $ 1.50 <br /> Total Permit Fee $ <br /> : PERIvIiT�FEE CALCULAT�O�`J S .=-'J�'JBS�OVER-$SOD.QO ," ��. ;'; <br /> If above does not apply;follow guidelines below: <br /> 1. CONTRACT PRICE *is 1.25%of contract price with a(Minimum Fee of$35.00) <br /> � x.0125$ Z��� <br /> ( ontract price) (minimum$35.00) <br /> 2. STATE SURCHARGE **Add the State Bldg Code Div. Surcharge(Minimum Fee of$.50) <br /> Z J�0 x.0005 $ �� �� <br /> contract price) (minimum$ .50) <br /> 3. POSTAGE&HANDLING(Only on Mail-In Applicarions) $ 1.50 <br /> 4. TOTAL PERNIIT FEE(Add Lines 1-3 Above) $ Z'C r �� <br /> ■ * CONTRACT PRICE or JOB COST means the actual or estimated dollaz amount charged for the <br /> pernutted work including materials, labor,profit, and other fixed costs. It is the amount to be charged <br /> to the customer for the work done. If any material, equipment, labor or installations aze furnished by <br /> the owner, tenant or any other party, the reasonable market value of such items must be added to the <br /> estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the <br /> amount of the job cost, the City may request the submission of a signed copy of the actual contract. <br /> ■ **The STATE SURCHARGE is .0005 of the Building Department at(952)249-4600 for the price. <br /> MECHAN�ICAL PERMIT AFPLICATION AGREEMENT ;. <br /> The undersigned hereby applies to the City for issuance of a Mechanical Permit, agrees to do all <br /> work in sfict accordance with t ordinances of the City and the regulations of the State of <br /> Minnesota, and certifies that 1 ments made on this application are complete, true and <br /> correct. <br /> Applicant's Signature: Date: �` �� <br /> 3 <br />